Assessment of Weights in Pediatrics

Title

Assessment of Weights in Pediatrics

Description

Percent of pediatric patients (17 years and less) with an updated weight during the measurement year

A higher score is better

Rationale

Most pediatric prescriptions are weight-based and the pharmacy should be checking the dose prior to dispensing.

Logic Model

This measure ensures the pharmacy has the salient information (weight) to ensure patient specific dosing.

Level of Analysis

Pharmacy (Patient)

Data Source

Pharmacy Data

Denominator Statement

All patients 17 years and less that received a medication at the pharmacy during the measurement year

Denominator Calculation

1.     1. All patients in the pharmacy

2.    2. All patients age 17 or less during the measurement year

3.    3. Apply exclusion criteria

Denominator Exclusions

Any patient only receiving an immunization at the pharmacy

Any non-human patients (e.g., cats, dogs, clinics, office-use, etc)

Denominator Exclusion Rationale

Many pharmacies may host immunization clinics and only interact with a patient during these visits. As immunizations do not need to be weight-based, assessment of weight is not a required (valid) assessment.

Pharmacies may provide care to pets or other veterinarian needs, or for office-use. This patient profiles should be excluded from the measure calculation.

Numerator Statement

Individuals from the denominator with a weight (pounds) during the measurement year

Numerator Calculation

1.     Identify number of individuals with a weight recorded in the pharmacy record.

Seguridad Measure Specification Process

Data Stratification

The measure rate will be reported as percent of patients within a single pharmacy.

If available and feasible, measure rate will be reported by type of pharmacy (e.g., health-system, community, specialty, mail-order, long-term care).

If available and feasible, measure rate will be reported by line of business (pharmacy Medicare rate, pharmacy Medicaid rate, pharmacy Commercial rate, and pharmacy uninsured rate).

Risk adjustment will be applied when available.

Value Sets

The value set Seguridad - CMP Immunizations will be used to support the exclusion criteria.

Future Iterations

Many pharmacy measures are designed as structure or process. Future goals of this concept include measures focused on appropriate dosing based on weight and assessment of all patients.

Harmonization¹

Payors: N/A

Providers: N/A